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Home My WebLink About55266_JENNINGS, DAVID_20100225❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT , Previous permit# ❑New El Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Q Rules attached. Applicant Name L'� v� U 1) z nK �' Project Location: County Ae, Address UZ Street Address/ State Road/ Lot #(s) City j �vR 101_� State-_ _ZIP 4'�� C�'� I� Phone # () Fax # () Subdivision Authorized Agent —1:.,.'-lr .,n'P r City P c.v, ZIP _ 6 ❑ CW ❑ EW 1 PTA ❑ ES ❑ PTS „ 1 Phone # ( 2�) S� %' , �j River Basin "C, Te Affected [IOEA AEC(s): ElHHF ElIH ElUBA ElAd N/A _ j. Wtr. Body � � - L ' (nat / /unkn) ❑ PWS: ❑ FC: ' Closest Maj. Wtr. Bodyv ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) - - -� Finger pier(s) _I Groin length - - - -- -' number Bulkhead/ Riprap length avg distance offshore _ max distance offshore I Basin, channel cubic yards Boat ramp — ---�— -----� Boat house/fBoatli iZ Beach Bulldozing Other 1 Shoreline Length + SAV: not sure yes �o - Sandbags: not sure yes (-no J Moratorium: n/a yes no Photos: yes rno r ' Waiver Attached: yes `no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: i rV See note on back regarding River Basin rules. PermitOfficer's Signature Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑❑ Tar - Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date 21 0 Name of Property Owner Applying for Permit: 1 )Pti Il:V'% dIrwi-P�C Mailing Address: I certify that I have authorized (agent) 6 act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 5(a��«7�" �t�'' �`�'? , at (my property located at) This certification is valid thru (date) Property Owner Signdture V Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper ADJACENT RIPARIA1Y P.ROPERTY.O'V NER STATEMENT. I. hereby certifti diet... own property adiacent to (Nain a o;t ,Property Owww) "fit Pzopert;.located at'-�.`/� C�•�• r 4.�C_ :....�.+ 0n .Ems- ;.gin - - -- (�'Haiirrbud}) gown and/or. Counrti) .A'P plies ges.phoue ##:ems He has described ro me. as shown •below. the development' -he is proposing At thai location_.arnd, I have no'objections to his proposal. ------ ----------- ----------------------------------- ---,._------------ ------ ------- .------ ---------- --- DESC:ATPTIOtti ,A.NWOR DRAWING OF. PROPOSED UEVELOPIN ENT: To be in by property_ owner proposing development) Sa ,.�• r: r', �'r''• ,�. L`''� { I �'•'i".. •'�• i d . 1' '--r L ' i?•yC,,. ,f i ��...__--"------------ -------- -- ----- w-`---`- ---------------,«--------- •-----------•__ (1uf6rmation forFropi�rty Ovr•ner.Aopiying (R4pariav Prupertr Qvrn+er. Infe msiti0a) • •forFex�t(t). " . 151 �w.�� .,a�-1-z�--�. �- ,s. i.;� ,,7 ' ,� ", .a • --� / � bnatuCe ity!Scate)Ztp Print or 3'Pc atCie 0$1 On Z4, 'q Telepiorieurxtliesr eicphotue Number i%ta,re:, , 1r?ateYY+A 5 tY+FL . R if'Date 02 w C�i� C9 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to / i, <k T _,�) ,,") (Na�m-'e—of—Property Owner) property located at /Ja ��—� Zi,G . , (Lot, Block, Road, etc.) on!'1i� L I�C� L� (` i ,(, in I V��Z)c�� 1�J , N.C. (Waterbody) (Town and/or County) Applicant's phone #: �%��-/Mailing Address: /.)(: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -------------------------------------------------------- (Information for Property Owner Applying for Permit) Mailing Address Ci /State/Z' (Riparian Property Owner Information) R Si ature S ty Ip Print or Type Name _ I ��-�� - rsS 3— Tel hone T)h Telephone Number "� n - l Signature Date 41 Date DAVID L. JENNINGS PAMELA S. JENNINGS 102 CREST DR HAVELOCK, NC 28532-9612 NAVY FCU 675 HAVELOCK, NC 28532 68-7497/2560 2/25/2010 PAY TO THE CAMA ORDER OF _ $ "*200.00 Two Hundred and 00/100***"—..***************#**************.**.«**„*********************************��***� DOLLARS x CAMA Permit 1:2560I:06751-170D1, 001 �•J�alCai"i-. Describe belolri the HABITAT disturbarc--. ..r the application. All values should match the name, and units cf measurement found in your Habitat code chest. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. I (Applied for. Disturbance ioial includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tem impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount QDredge _ ❑ Fill ❑ Both ❑ Other `j V Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑